Department of Otorhinolaryngology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433.
Singapore Med J. 2013 Sep;54(9):e176-8. doi: 10.11622/smedj.2013178.
Retropharyngeal lipomas are rare tumours that are usually asymptomatic until they reach a large size. The definitive treatment is surgical excision. Since the tumours are typically large at the time of presentation, extensive surgery for complete clearance of the lipoma from the retropharyngeal and parapharyngeal regions is to be expected. Transoral excision is typically indicated for small retropharyngeal tumours, as this approach does not give good access to the parapharyngeal area laterally. Herein, we present the case of a patient who underwent transoral excision of a huge retropharyngeal lipoma, which extended into the right parapharyngeal space. The surgical technique used and the insights gained are described in this report. Even with parapharyngeal extension, transoral resection of a huge retropharyngeal lipoma can be performed. More invasive surgery, which may involve a neck incision, mandibulotomy or pharyngotomy, is not necessary. While huge retropharyngeal lipomas are usually symptomatic and require surgical intervention, transoral resection can be adequate and safe for treatment.
咽后脂肪瘤是罕见的肿瘤，通常在瘤体较大时才出现症状。明确的治疗方法是手术切除。由于肿瘤在就诊时通常较大，需要进行广泛的手术以彻底清除咽后和咽旁区域的脂肪瘤。经口切除通常适用于较小的咽后肿瘤，因为这种方法不能很好地进入咽旁外侧区域。本文报告了 1 例巨大咽后脂肪瘤经口切除的病例，该肿瘤延伸至右侧咽旁间隙。本文描述了所使用的手术技术和获得的见解。即使有咽旁延伸，巨大的咽后脂肪瘤也可以经口切除。不需要更具侵袭性的手术，如颈部切口、下颌切开术或咽切开术。虽然巨大的咽后脂肪瘤通常有症状并需要手术干预，但经口切除可作为一种充分且安全的治疗方法。
